At least 20 states are pursuing legislation to limit access to gender-affirming care for transgender youth, while some states have proposed legislation to prohibit discrimination based on sexual orientation and gender identity.

Several state Medicaid programs have begun reimbursing for vaccine counseling services amid efforts across the country to increase COVID-19 vaccination rates. Vaccine counseling services can provide reassurance, education, and clarity to those experiencing vaccine hesitancy.

Many governors are taking renewed action to combat COVID-19 as the delta variant spreads. Some states have renewed their public health emergency declarations, while others are mandating vaccinations for certain state workers. However, nine states have enacted laws prohibiting vaccine mandates.

So far, 26 states and Washington, D.C., publicly report varying data on race and ethnicity for individuals who have received the vaccination. States also have taken different approaches to addressing disparities in vaccine administration and vaccine hesitancy.

The Federal Emergency Management Agency is supporting vaccination sites in 19 states and U.S. territories. States vary in their approaches to distribute COVID-19 vaccines to children; some are prioritizing subpopulations of children while others are involving child health stakeholders in planning.

Many states — including North Carolina, Oregon, Pennsylvania, and South Carolina — are designating CARES Act funds to assist hospitals. The National Governor's Association outlines best practices for distributing potential COVID-19 vaccines.

Federal guidance details how states can request ventilators; states regulate distribution of chloroquine and hydoxychloroquine and take steps to ensure housing stability.